Life, Derika

Life, Derika is an individual health care provider with primary practice located at 909 Cushman St Ste 103 , Fairbanks AK 99701-4668. She recently has 4 registered licenses in different health care specialties including Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Day Training/Habilitation Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Life, Derika can be contacted via phone (907) 456-4620.

Contact Information

Primary practice address
909 Cushman St Ste 103 Fairbanks AK 99701-4668
Phone: (907) 456-4620
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1396582904
LBN Legal business name Life, Derika
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2024
Last updated Jul 10th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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